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Tenant Improvement - 05-06-081 - 1036 E Iron Eagle Dr Ste 130 - 06/24/2005 City of Eagle Zoning/Building Permit Permit#: 05-06-081 Mechanica/#: o Fees: Permit Fee $299.00 Plan Review $194.00 Development $0.00 Special Fee $0.00 IECC Fee $100.00 ACHD Fee $0.00 Mechanical-Res $0.00 Mechanical-Com $0.00 EM2 Fee $0.00 -------------- Total Fees $593.00 Less Deposit $100.00 Less Foundation Only $0.00 Balance Due $493.00 Property Owner Owner Address Owner City State Zip Issue Date Thomas Sellin 1036 E Iron Eagle Dr Ste 100 Eagle, 1083616 6/24/2005 Foundation Only Issue Date Builder Name Thomas Sellin Builder Address 1-036 E Iron Eagle Dr Ste 100 Builder City State Zip Eagle, 1083616 Builder Telephone (208) 939-6641 Subdivision Merrill Subdivision #2 Block 4 Property Address Lot P #E 1036 E Iron Eagle Dr Ste 130 Type TI Deposit Receipt# 4.000665 Foundation Only Receipt# Issue Receipt# 2.001434 SqFtUving 880 SqFtBmnt 0 SqFtGrg 0 SqFtPorch 0 Value Of Imprmnt $22,440.00 Eagle Water 0 EM2 Water 0 Eagle Sewer 0 Development 0 ACHD 0 Notes: Tenant Improvements for Suite # 130 City Clerk/Authorized Personnel Builders Signature Said structure andlor use to conform to specifications and plans submitted and must be in full compliance with ordinances of the City of Eagle subject to inspection permits and fees as required. Friday, June 24, 2005 Page 1 of 1